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Fraud Claims Operations Representative Jobs (NOW HIRING)

Veterans Sourcing Group

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fraud specialist

Johnston, RI · On-site

$20 - $22/hr

Queue Manager - Fraud & Claims Operations Position Summary The Queue Manager is responsible for overseeing daily fraud and claims inquiry queues to ensure timely, accurate, and efficient case ...

Citizens

Fraud Claims Sr Specialist

Pittsburgh, PA · Hybrid

Description As a Fraud Claims Sr. Specialist , you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to ...

Citizens

Fraud Claims Sr Specialist

Pittsburgh, PA

Description As a Fraud Claims Sr. Specialist , you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to ...

Citizens

Fraud Claims Sr Specialist

Pittsburgh, PA · On-site

Description As a Fraud Claims Sr. Specialist , you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to ...

Citizens

Fraud Claims Sr Specialist

Riverside, RI · Hybrid

Description As a Fraud Claims Sr. Specialist , you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to ...

Citizens

Fraud Claims Sr Specialist

Pittsburgh, PA · Hybrid

Description As a Fraud Claims Sr. Specialist , you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to ...

Citizens

Fraud Claims Sr Specialist

Riverside, RI · Hybrid

Description As a Fraud Claims Sr. Specialist , you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to ...

Citizens

Fraud Claims Sr Specialist

Riverside, RI · Hybrid

As a Fraud Claims Sr. Specialist , you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to protecting our ...

Citizens Bank

Fraud Claims Sr Specialist

Riverside, RI · On-site

As a Fraud Claims Sr. Specialist , you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to protecting our ...

Citizens

Fraud Claims Sr Specialist

Pittsburgh, PA

As a Fraud Claims Sr. Specialist , you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to protecting our ...

TBK Bank, SSB

Fraud Specialist

Bettendorf, IA · On-site

Minimum of 2-4 years of experience in fraud prevention, fraud investigations, banking operations, or a related financial services role. * Prior experience handling fraud claims or transaction ...

Triumph Financial

Fraud Specialist

Bettendorf, IA · On-site

Minimum of 2-4 years of experience in fraud prevention, fraud investigations, banking operations, or a related financial services role. * Prior experience handling fraud claims or transaction ...

Triumph Financial

Fraud Specialist

Bettendorf, IA · On-site

Minimum of 2-4 years of experience in fraud prevention, fraud investigations, banking operations, or a related financial services role. * Prior experience handling fraud claims or transaction ...

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All JobsFraud Claims Operations Representative Jobs

Fraud Claims Operations Representative information

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$12

$19

$29

How much do fraud claims operations representative jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for fraud claims operations representative in the United States is $19.85, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $21.63 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Fraud Claims Operations Representative, and why are they important?

To thrive as a Fraud Claims Operations Representative, you need strong analytical skills, attention to detail, and experience in financial services or fraud investigation, often supported by a relevant associate's or bachelor's degree. Familiarity with fraud detection software, case management systems, and banking platforms is typically required. Excellent communication, problem-solving, and customer service skills help you resolve claims efficiently and reassure affected clients. These skills are essential for accurately identifying fraudulent activity, mitigating losses, and maintaining customer trust in financial institutions.

How does a Fraud Claims Operations Representative typically collaborate with other departments during an investigation?

Fraud Claims Operations Representatives regularly work with teams such as Customer Service, Risk Management, and IT Security to thoroughly investigate and resolve fraud cases. Collaboration often involves sharing detailed case information, coordinating on account holds or restrictions, and ensuring that customers are kept informed throughout the process. Effective communication and teamwork are essential, as representatives must often escalate complex cases or seek specialized expertise from other departments to reach a resolution promptly.

What does a Fraud Claims Operations Representative do?

A Fraud Claims Operations Representative is responsible for investigating and resolving claims related to fraudulent activities on customer accounts. They review transaction details, communicate with customers to gather information, and determine the validity of reported fraud. Their work helps protect both the financial institution and its customers from financial losses due to unauthorized or suspicious activity. They also ensure compliance with company policies and legal regulations during the claims process.
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Fraud Claims Operations Representative jobs near you
Infographic showing various Fraud Claims Operations Representative job openings in the United States as of May 2026, with employment types broken down into 99% Full Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $41,287 per year, or $19.8 per hour.
Fraud & Claims Operations

Fraud & Claims Operations

A-Line Staffing Solutions LLC

Johnston, RI • Hybrid

$21/hr

Other

Posted 20 days ago

Job description

Pay: From $21.00 per hour Job description: Job Posting: Fraud & Claims Operations Schedule: 40 hours/week | 8 hours/day | Weekly Time Submission Work Environment: Hybrid/Flexible (4 days or less onsite) Openings: 1 Position Overview Salesforce Queue Manager – Fraud & Claims Operations We are seeking a highly analytical and detail-oriented Queue Manager to support fraud and claims operations. This role is responsible for overseeing daily fraud and claims inquiry queues, ensuring timely intake, case tracking, workflow progression, and SLA adherence. The ideal candidate will have experience in fraud operations, claims processing, banking operations, or financial services case management , with strong Salesforce reporting and workflow monitoring expertise.

This is an excellent opportunity for professionals experienced in operational queue oversight, performance reporting, and process optimization within financial services environments. Key Responsibilities Monitor and manage daily fraud and claims inquiry queues to ensure timely intake, assignment, and case resolution Create, review, update, and maintain fraud/claims-related cases in Salesforce Track workflow progression to ensure all inquiries meet established SLAs Identify trends, bottlenecks, delays, and operational risks; escalate issues proactively Generate daily, weekly, and monthly operational performance reports Ensure accuracy and completeness of queue data for audit readiness and reporting integrity Collaborate with operations leaders to improve workflow efficiency and service performance Support special fraud and claims operations projects as assigned Maintain high-quality documentation standards and process consistency Analyze queue metrics and recommend operational improvements Required Qualifications Experience in fraud operations, claims processing, banking operations, or financial services support Strong hands-on experience with Salesforce case management and reporting Ability to manage multiple workflows in a fast-paced operational environment Strong analytical and reporting skills Excellent organizational and prioritization abilities High attention to detail and accuracy Strong written and verbal communication skills Proficiency with: Microsoft Excel Outlook PowerPoint Operational reporting tools Preferred Qualifications Prior queue management or workflow monitoring experience Experience reporting on SLA performance metrics Knowledge of banking fraud investigation workflows Financial claims operations experience Process improvement or operational optimization experience Determine if fraud activity is Identifying fraud detection/trending issues Set working in fraud solution and maintaining fraud detection strategies Utilize theft and fraud tools to effectively address potential risk or fraud Review new account fraud alerts Optimize fraud and risk operations Analyze fraud patterns in data to identify new fraud trends and hidden patterns of fraud Combating fraud for the team Keep detailed records of fraud activity Keep detailed records of fraud activity and prepare fraud / risk reports Recommend optimization within fraud prevention rules Maintain company fraud database records Providing thought leadership on fraud prevention Update fraud software to react accordingly to the identified fraud trend Maintain fraud analytics to track behavioral patterns associated with online fraud Monitor a fraud detection system that be designed to identify fraudulent activity Assess and communicate voice fraud risks associated with evolving fraud tactics Determine if fraud has occurred Drive fraud and risk mitigation activities Maintain awareness of new fraud techniques and security developments for counteracting fraud

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About A-Line Staffing Solutions

Sourced by ZipRecruiter

A-Line Staffing Solutions is an established full-service recruiting and staffing provider that operates in the industry of human resources and recruitment. Based in Utica, Michigan, A-Line Staffing Solutions has been committed to its mission of providing innovative and effective workforce solutions since its foundation. The company specializes in providing high-quality staffing solutions for a range of disciplines, including Information Technology, Professional, Administrative, Healthcare, and more. A-Line prides itself on its ability to offer comprehensive and tailored staffing solutions in line with the varying needs of different businesses, which has played a crucial role in the company's growth and success.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Utica, MI, US

Year founded

2004

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